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Back in May, Teen Mom OG star Amber Portwood welcomed her second child, a boy named James.

In the weeks that followed, Portwood suffered from severe postpartum depression.

Amber was open about her struggle from the very beginning, but it’s only now that fans are beginning to learn just how dire the situation became.

We now know that at one point, Amber’s mental illness nearly cost her her life.

Take a look: